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LetterLetter

Presence of Antitopoisomerase I Antibody Alone May Not Be Sufficient for the Diagnosis of Systemic Sclerosis

ANNE E. TEBO, ROBERT L. SCHMIDT and TRACY M. FRECH
The Journal of Rheumatology April 2019, 46 (4) 440-442; DOI: https://doi.org/10.3899/jrheum.180503
ANNE E. TEBO
Department of Pathology, University of Utah, and ARUP Laboratories;
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ROBERT L. SCHMIDT
Department of Pathology, University of Utah, and ARUP Laboratories;
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TRACY M. FRECH
Department of Rheumatology, University of Utah, Salt Lake City, Utah, USA.
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  • For correspondence: tracy.frech@hsc.utah.edu
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    Figure 1.

    Clinical categorization of anti-topo I antibody-positive patients and their relative autoantibody titers. Anti-topo I antibody concentrations were significantly elevated in patients fulfilling the 2013 SSc criteria (panel A) compared to those who did not meet these requirements (panel B) — lung disease (bronchiectasis, empyema, tuberculosis, and usual interstitial pneumonia) and other immune-mediated conditions (Sjögren syndrome, Graves’ disease, inflammatory bowel disease, and sarcoid; p = 0002). Anti-topo I antibody: antitopoisomerase I antibody; SSc: systemic sclerosis.

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    Figure 2.

    Anti-topo I antibody levels may be useful in predicting risk for SSc. Using logistic regression, an estimated probability of 1 for SSc was attained at anti-Scl-70 antibody level of about 125 AU/ml. Anti-topo I antibody: antitopoisomerase I antibody; SSc: systemic sclerosis.

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The Journal of Rheumatology
Vol. 46, Issue 4
1 Apr 2019
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Presence of Antitopoisomerase I Antibody Alone May Not Be Sufficient for the Diagnosis of Systemic Sclerosis
ANNE E. TEBO, ROBERT L. SCHMIDT, TRACY M. FRECH
The Journal of Rheumatology Apr 2019, 46 (4) 440-442; DOI: 10.3899/jrheum.180503

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Presence of Antitopoisomerase I Antibody Alone May Not Be Sufficient for the Diagnosis of Systemic Sclerosis
ANNE E. TEBO, ROBERT L. SCHMIDT, TRACY M. FRECH
The Journal of Rheumatology Apr 2019, 46 (4) 440-442; DOI: 10.3899/jrheum.180503
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